Nurse Care Manager
1 week ago
We are seeking a highly skilled Registered Nurse to join our Care Management team as a Nurse Care Manager. In this role, you will be responsible for providing high-quality individualized direct patient care, supervising clinical staff, and performing patient testing and direct patient care within the scope of your licensure.
Key Responsibilities- Supervise clinical staff at all locations, oversee the care coordination team, and work with the institutions PCMH leaders.
- Oversee the effectiveness of once daily huddles in terms of assisting with patient care, disseminating procedural information, and important updates.
- Manage all aspects of Vaccine Management (ordering, inventory management, freezer and refrigerator temperature logs, NYSIS Data input, printing records, granting access) & Patient Administration (charting, consent forms, vaccine log).
- Manage Clinical Staff Personnel Tasks, including but not limited to: staff recruitment/interviewing, new staff onboarding, performance evaluations & performance plans, performance improvement plans.
- Work with the management team to review quality and customer service metric reports, identify, and participate in QI projects.
- Assist providers with immediate on-site care management/care coordination services, including creating care plans for highly complex patients, education for care management patients, and assisting patients with social determinants of health.
- Responsible for contacting patients, facilitating Transitional Care Calls, and transitioning of care (ToC) approximately 80 calls per month.
- Follow up with patients discharged from the emergency room, facilitate re-education, and follow-up appointments approximately 35 calls per month.
- Work with providers to implement PCMH policies, follow insurance company and institutional quality measure guidelines for identifying patients for care management services and gaps in care.
- Annually review and update PCMH policies and procedures covering all existing current certification areas.
- Create and implement new PCMH policies and procedures based on annual new additions to certification requirements.
- Run, review, and summarize PCMH reports related to patient recommendations, timeliness of response to advice, and access.
- Prepare PCMH annual reports related to care management eligibility and provider adherence to requirements for care plans.
- Create and implement training materials for clinical staff to ensure adherence to policies and procedures.
- Follow up with Care Management Patients, including keeping track of a daily spreadsheet of all patients enrolled in care management, and alerting nursing staff and providers in both locations of their upcoming care management appointments.
- Triage patient calls, contact appropriate care providers as necessary, and perform patient care duties, including performing appropriate patient testing and direct patient care to patients within the scope of your licensure.
- Associate's degree in Nursing (New York State BSN in 10 Law - Must attain Bachelor's in Nursing or higher within 10 years of initial licensure).
- 3 years of nursing experience.
- Basic Cardiac Life Support (BCLS) required.
- Current registration to practice as a Licensed Registered Nurse in New York State.
- Must have excellent communication skills.
- Bachelor's degree in Nursing.
- Experience with care coordination methods preferably in an academic practice and/or PCMH primary care, Care Management experience.
- Experience with Transitional Care Management.
- Advanced Cardiovascular Life Support (ACLS).
- 1 year inpatient experience; 5 years outpatient experience.
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